Philosophy lessons from the clinical setting: Seven sayings that used to annoy me

Traditional medical approaches to moral issues found in the clinical setting can, if properly understood, enlighten our philosophical understanding of moral issues. Moral problem-solving, as distinct from ethical and metaethical theorizing, requires that one reckon with practical complexities and uncertainties. In this setting the quality of one's answer depends not so much upon its content as upon the quality of reasoning which supports it. As the discipline which especially focuses upon the attributes of good-quality reasoning, philosophy therefore has much to contribute to the clinical enterprise of moral (and medical) problem-solving.     

道德推理与道德行为关系的元分析

目前道德心理学中存在对道德推理作用的质疑, 这一质疑源自哲学领域的著名争论。从经典道德心理学理论来说, 道德推理应该是道德行为的重要决定因素, 但新近的观点则否定这一重要作用。本研究采用元分析技术探讨道德推理与道德行为的关系。通过文献搜索与检查, 获得了50项研究和83个独立效应量, 共包含16738名被试。检验表明发表偏差不会影响元分析的结果, 选择随机效应模型是准确的。通过随机效应模型的元分析表明, 道德推理与道德的行为有显著的正相关, 与不道德的行为有显著的负相关。调节效应分析表明, 道德推理测量工具的类型会影响道德推理与道德行为的关系, 被试年龄阶段会影响道德推理与不道德行为的关系。这些结果肯定了道德推理的作用, 也强调了研究过程中要关注测量工具的类型, 指出了需要开发更全面的道德推理测量工具。     

Impact of Terrorism, Insurgency, and Other Human-caused Catastrophes on Pivotal National Leaders’ Vision Statements

Vision statements articulated by seven pivotal national leaders before and after a catastrophe were examined for changes in moral reasoning stage, moral reasoning orientation, explanatory style, and rumination. Established two-stage structured content analysis methods were used and a perspective of shared leadership. Five leaders showed no significant change in moral reasoning stage but two showed a statistically significant reduction following overt attack on their homeland. After a catastrophe, six showed significant change in moral reasoning orientation, four showed less positive or negative explanatory style, and all seven showed high rumination. From an organizational systems perspective, an impact of human-caused catastrophe was adjustment of these four variables in pivotal national leaders’ vision statements as if they are systems levers.     

Sex Differences in Adult Moral Orientations

ABSTRACT Gilligan's (1982) hypotheses regarding sex differences in moral reasoning orientation were investigated in two samples of adults In Study 1, adults ages 18 to 75 were interviewed about both hypothetical and personal moral dilemmas Women were more likely than men overall to show Gilligan's care orientation as expected, particularly in personal reasoning However, these sex differences were not as pervasive as Gilligan argues, and were influenced by subject age, subject stage level on Kohlberg's measure of moral reasoning, and the type of real-life dilemma content recalled by subjects for discussion
Study 2 focused on the role of adult parental status as mediator of personal moral orientation differences in mid-life Consistent with the theorizing of Gutmann (1985), adult parents were shown to be sex-role differentiated in both selfconcept and moral orientation, whereas married nonparents were not Further-more, sex differences in reasoning orientations were again found to be linked to differences in the dilemma content presented by men and women These studies partly support Gilligan's theorizing, but indicate less pervasive sex differences in some groups of adults than hypothesized     

A comparison of moral reasoning and moral character in male and female incarcerated felons

Gender differences among incarcerated adult felons along dimensions of moral reasoning and moral character were examined. Previous work was extended by comparing adult male and female felons, and by exploring the relationship between moral reasoning and moral character. Subjects completed the Socio-moral Reflection Questionnaire, which measures moral reasoning. Moral character was assessed by a socialization scale, two empathy measures, and two autonomy questionnaires. Discriminant function analysis revealed that men were higher than women on moral reasoning, lower on socialization, higher on role-taking empathy, lower on emotional empathy, and more internal in locus of control. Moral reasoning was correlated with role-taking empathy and locus of control. Implications for theories of gender differences in moral reasoning and criminality were discussed.     

Transcendence and the Moral Self: Identity Integration, Religion, and Moral Life

Although moral reasoning is able to account for some of the variability in moral behavior, much remains unexplained. Recently, a number of components of personality have been proposed as bridging the gap between moral reasoning and moral behavior. The present study investigates the role that identity integration (the extent to which one's moral values have become integrated into identity) and religious orientation (one's motivation for engaging in religious practice) play in moral functioning. A sample of 60 undergraduates was assessed on identity integration, religious orientation, moral reasoning, and self-reported altruism. We found positive correlations among moral reasoning, identity integration, intrinsic religious orientation, and self-reported altruism. A hierarchical regression analysis, however, revealed moral reasoning to be the only significant predictor of self-reported altruistic behavior. We discuss the relationship between moral reasoning and identity integration and the extent to which the intrinsic religious orientation scale may be a measure of identity integration in the religious domain.     

Gender differences in moral reasoning

This research tests Gilligan's hypothesis that men are more likely to consider moral dilemmas chiefly in terms of justice and individual rights, whereas women are more likely to be chiefly concerned with questions of care and relationships with others. In addition, we have investigated the effects of dilemma content upon orientation of moral judgment. Protocols from interviews with 50 college students, half women and half men, to three moral dilemmas were coded according to moral orientation. Results indicated that both moral orientations were widely used by both men and women, but that women were more likely to employ prodominantly care considerations. In a test of mean differences in proportion of justice responses, content of the specific moral dilemma showed a strong influence upon moral reasoning. Results suggest that both gender and situational factors need to be considered in our understanding of moral reasoning.     

Moral growth among athletes and nonathletes: a comparative analysis

Sport may be described as a unique moral context encouraging adaptations in participants' moral reasoning. The relation between sport participation and maturity of moral reasoning regarding general social problems and sport-specific dilemmas was investigated in two related studies. Study 1 involved 100 high school and college basketball players and nonathletes, with an equal distribution of females and males. Moral protocols were administered and scored according to Haan's (1978, 1983) interactional model of moral development. Multivariate analyses of variance revealed no moral reasoning differences between high school basketball players and nonathletes, but high school females' moral reasoning was more mature than was males'. Within the college sample, nonathletes' moral reasoning was significantly more mature than was athletes'. Also, females' moral reasoning about sport was more mature than that of their male counterparts, though no sex differences were found in general life moral reasoning. In Study 2, 20 swimmers were added to the college sample. Basketball players employed less mature moral reasoning about sport than both swimmers and nonathletes (who did not differ from each other). Results were discussed in terms of sport-specific experiences.     

What does principled versus conventional moral reasoning convey to others about the politics and psychology of the reasoner?

The well‐documented relationship between political orientation and moral reasoning has most often been interpreted in terms of the influence of level of moral development (cf. Kohlberg, 1984) upon an individual's political inclinations: those who have reached the conventional level (or stage 4) in Kohlberg's terms will as a result tend to favour the political right, whereas those who progress to the principled level (stage 5) shift their political preferences to the left. An alternative, ‘social communication’ view is that these different forms of moral reasoning are expressions of contrasting political identities, and differ in ideological content rather than developmental level. We compared the inferences that American and British students (n=211) drew about the political, moral and cognitive attributes of a target who, in response to moral dilemmas, used either stage 4A, stage 4B or stage 5 moral arguments as defined by Kohlberg. Perception of the target's political attributes varied consistently and significantly as a function of the target's moral reasoning, but there were no corresponding effects on perception of moral or cognitive attributes. The results are interpreted as supporting a social communication view of moral reasoning and its relation to political orientation, and at the same time questioning the claim that conventional (stage 4) and principled (stage 5) moral reasoning are distinct levels of socio‐cognitive development. Copyright © 1999 John Wiley & Sons, Ltd.     

Moral judgment and self-reported moral events in adulthood

As part of a 13-year study of the development of reasoning about the Good Life and moral judgment, 29 middle-class, well-educated adults, ranging in age from 18 to 80 years, were interviewed twice, 4 years apart on Standard Form Moral Judgment interviews and were asked to describe their own moral events that occurred recently. Both times, the average moral judgment score on the hypothetical dilemmas was about stage 4. The reasoning in the spontaneously reported moral events was significantly lower, although the two scores were highly correlated. Difference scores between the two were not related to scores on the hypothetical dilemmas. While there were no significant gender differences in scores on the hypothetical dilemmas, there were in scores on spontaneously reported events favoring males. The philosophic quality of the reported events could be easily categorized by traditional moral-philosophic categories; about half of the events contained traditional deontic moral content (moral right); the other half contained material defined as the moral good. The context of most events was interpersonal as opposed to societal. The most frequent issue discussed concerned honesty about financial issues, particularly income tax evasion. Ways to expand the research on adult moral experience are discussed.     

Moral reasoning,moral decision-making,and empathy in Korsakoff’s syndrome

Korsakoff’s syndrome (KS) is a neuropsychiatric disorder, caused by a vitamin B1 deficiency. Although it is known that patients with KS display diminished theory of mind functioning and frequently exhibit marked antisocial interactions little attention has so far focused on the integrity of moral decision-making abilities, moral reasoning, and empathy. In an experimental cross-sectional design, 20 patients diagnosed with KS, and twenty age-, education-, and gender-equivalent healthy participants performed tests assessing moral decision-making, moral reasoning maturity, empathy, and executive functioning. Participants were administered the Moral Behaviour Inventory (MBI) for everyday moral dilemmas, and ten cartoons of abstract moral dilemmas. Responses were scored according to the Kohlberg stages of moral reasoning. Empathy and executive functioning were assessed with the Interpersonal Reactivity Index (IRI) and the Frontal Assessment Battery (FAB). In contrast to frontal traumatic brain injury patients, KS patients did not display a utilitarian bias, suggesting preserved moral decision-making abilities. Of interest, KS patients had significantly lower levels of moral reasoning maturity on everyday moral dilemmas, and abstract moral dilemmas. In patients, empathy was moderately related to the level of moral maturity on both tasks, while executive functioning was not. In conclusion, KS patients have preserved moral decision-making abilities, but their moral reasoning abilities are poorer in everyday and abstract situations. Lower moral reasoning abilities and lower levels of empathy together may be responsible for adverse social functioning in KS.     

内隐和外显道德评价的比较研究——来自眼动的证据

为探索内隐道德直觉和外显道德推理在道德评价中的差异及其内在机制,此研究将道德图片内容限定在伤害/关心维度,同时考虑道德效价以及情绪唤醒度,利用眼动追踪技术,考察内隐和外显道德任务中,道德直觉和道德推理的眼动轨迹及其加工过程差异。眼动结果发现,外显和内隐任务中个体均对低唤醒道德图片的首次注视时间更短,对低唤醒不道德图片总注视时间更长; 内隐任务和外显任务早期自动化加工阶段的平均凝视时间无显著差异; 内隐任务中,对不道德图片比对道德图片晚期平均凝视时间更长,瞳孔直径在中晚期时显著增加。此研究结果提示无论是道德直觉过程还是道德推理过程都是意识和无意识之间的相互作用,但是道德直觉过程的加工可能存在时间上的滞后性。     

Post-conventional moral reasoning and reputation

Kohlberg’s theory of moral development conceives conventional and post-conventional moral reasoning as consecutive levels in a developmental sequence. This claim was examined in terms of the relationship between preference for these two styles of reasoning on the one hand and moral identity as perceived by others (reputation) and as self-perceived and on the other. Participants (n = 172), in groups of four mutual acquaintances, provided ratings of one another’s standing, and estimates of their own standing and reputation, on four trait dimensions (moral responsibility, consideration for others, respect for authority, and political orientation). Post-conventional moral reasoning, assessed using the Defining Issues Test, was not significantly related either to reputation or to self-rating on any dimension except political orientation. Conventional reasoning was related to politics though in the opposite direction, but additionally to both self- and other-ratings of moral responsibility and to the corresponding ratings of respect for authority. Findings do not support the view that the conventional/post-conventional distinction in moral reasoning is a developmental difference. An alternative proposed is that these are independent domains of moral thought, related to quite different aspects of social behaviour and political attitudes.     

Sexual experience, sex guilt, and sexual moral reasoning

Two studies are described in which the relations between sexual experience, sex guilt, and sexual moral reasoning were examined. Subjects were asked to articulate their opinions on each of six sexual activities, and then choose one of six statements (corresponding to Kohlberg's six stages of reasoning) that most clearly reflected why they had, or had not, engaged in three of those activities. An analysis of the moral reasoning present in each of the six articulated responses indicated that level of reasoning was inversely related to sex guilt. Analysis of the preference data indicated that subjects endorsed reasoning (statements) at a higher stage than they had articulated, and that this “gap” between articulation and preference was much greater for less experienced subjects. Results are discussed in terms of the utility of using situation-specific moral dilemmas when assessing moral reasoning, and in terms of the possible role that lack of sexual experience plays in inhibiting sexual moral development.     

Mindfulness-based stress reduction effects on moral reasoning and decision making

Previous research has demonstrated that mindfulness-based stress reduction (MBSR) improves psychological functioning in multiple domains. However, to date, no studies have examined the effects of MBSR on moral reasoning and decision making. This single group design study examined the effect of MBSR on moral reasoning and ethical decision making, mindfulness, emotion, and well-being. Additionally, we investigated whether there was an association between the amount of meditation practice during MBSR and changes in moral reasoning and ethical decision making, emotions, mindfulness, and well-being. Results indicated that MBSR was associated with improvements in mindful attention, emotion and well-being. Further, amount of meditation practice was associated with greater improvement in mindful attention. Two-month follow-up results showed that, MBSR resulted in improvements in moral reasoning and ethical decision making, mindful attention, emotion, and well-being. This study provides preliminary evidence that MBSR may potentially facilitate moral reasoning and decision making in adults.     

Reasoning in moral conflicts

Following the assumptions of the mental model theory and its account of moral judgements, we argue for a main role of reasoning in moral judgements, especially in dealing with moral conflicts. In four experiments, we invited adult participants to evaluate scenarios describing moral or immoral actions. Our results confirm the predictions deriving from our assumptions: Given a moral or immoral scenario, the manipulation of the propositions which refer to norms and values results in a scenario eliciting a moral conflict (Experiment 1); when invited to create conflict versions from no-conflict versions of moral or immoral scenarios, individuals manipulate the propositions in the scenario which describe norms and values rather than emotional factors (Experiment 2); the evaluation of conflict scenarios takes longer than the evaluation of no-conflict scenarios (Experiment 3), and this is because conflict scenarios involve more deliberative reasoning (Experiment 4). We discuss our results in relation to competing theories of moral judgements.     

用典型相关进一步研究大学生亲社会倾向和亲社会推理的关系

本研究使用修订后的亲社会倾向量表(PTM)和亲社会客观推理量表(PROM),对大学生群体进行了测查,并采用简单相关和典型相关探讨亲社会倾向和亲社会推理的关系。结果表明:大学生的亲社会倾向由高到低依次为:紧急的、利他的、情绪的、依从的、匿名的和公开的;他们的亲社会推理由高到低依次是:需要定向、刻板定向、内化价值定向、享乐主义定向和赞扬定向。6种亲社会倾向都与刻板定向推理、内化价值定向推理正相关;紧急的、依从的亲社会倾向与需要定向推理正相关;匿名的亲社会倾向与享乐主义定向推理负相关。从典型相关分析结果来看,两者间的整体关联程度没有理论预期的高,典型变量所代表的亲社会倾向主要是紧急的、匿名的、依从的亲社会倾向,而这些亲社会倾向主要由内化价值定向推理、刻板定向推理、需要定向推理来解释。     

Duties Owed in Serving Students: The Importance of Teaching Moral Reasoning and Theories of Ethical Leadership in Educating Business Students

This article concerns the importance of teaching moral reasoning and ethical leadership to all undergraduate students and in particular makes the case that students in business especially need familiarity with these capacities and theories given the complex world in which they will find themselves. The corollary to this analysis is the claim that content on moral reasoning and ethical leadership be mandatory for all business majors and that all degrees require course material on these subjects.

WHO CARES? THE EFFECT OF GENDER AND CONTEXT ON THE SELF AND MORAL REASONING

Theorists suggest that gender differences in moral reasoning are due to differences in the self-concept, with women feeling connected to others and using a care approach, whereas men feel separate from others and adopt a justice approach. Using a self-categorization analysis, the current research suggests that the nature of the self–other relationship, rather than gender, predicts moral reasoning. Study 1 found moral reasoning to be dependent upon the social distance between the self and others, with a care-based approach more likely when interacting with a friend than a stranger. Study 2 suggests that when individuals see others as ingroup members they are more likely to utilize care-based moral reasoning than when others are seen as outgroup members. Further, traditional gender differences in moral reasoning were found only when gender was made salient. These studies suggest that both the self and moral reasoning are better conceptualized as fluid and context dependent.